Chapter 53 Quiz

A  cystitis.

B  ureteral stones.

C  pyelonephritis.

D  Urethral infection.

A  A dull sound when percussing over the bladder

B  The ingestion of 8 oz of water

C  Tenderness over the kidneys

D  Bruits noted over the abdominal area

A  ureter

B  urethra

C  bladder

D  kidney

A  Detrusor

B  Mucosal

C  Connective tissue

D  Adventitia

A  I can resume my usual activities without restriction.”

B  It is normal for my urine to be blood-tinged.”

C  If I have difficulty urinating, I should contact my physician.”

D  I should increase my fluid intake for the rest of the day.”

A  Vasopressin

B  Renin

C  Albumin

D  Cortisol

A  Check the patient’s urine for hematuria.

B  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

C  Place a bed board under the mattress to add support

D  Keep the patient on bed rest for 72 hours.

A  Increased blood flow to the kidney

B  Susceptibility to develop hypernatremia

C  Increased glomerular filtration rate

D  Acid-base balance

A  phenazopyridine hydrochloride

B  Metronidazole

C  Phenytoin

D  Infection

A  Resonance

B  Tympany

C  Dullness

D  Flatness

A  Renal pelvis

B  Parenchyma

C  Glomerulus

D  Nephron

A  Have you any artificial joints?”

B  “Do you have any allergies?”

C  Do you have a pacemaker?”

D  Who has come with you today?”

A  Aldosterone

B  Growth hormone

C  Prostaglandins

D  Antidiuretic hormone

A  3:01

B  4:01

C  10:01

D  6:01

A  confirm which beverages the client normally consumes.

B  assess the client’s usual intake of sodium.

C  palpate the client’s bladder before and after voiding.

D  confirm all of the medications and supplements normally taken.

A  Uric acid level

B  BUN to creatinine ratio

C  Blood urea nitrogen (BUN)

D  Creatinine clearance level

A  Do you urinate while sleeping?”

B  Do you have a strong desire to void?”

C  Does it burn when you urinate?”

D  Is it painful when you urinate?”

A  Neurogenic bladder

B  Proteinuria

C  Kidney stone formation

D  Chronic kidney disease

A  Do you take phenytoin daily?”

B  Have you noticed any vaginal bleeding?”

C  Have you had a recent urinary tract infection?”

D  “Do you take multiple vitamin preparations?”

A  I brought a copy of my living will with me.”

B  “I have not eaten since 8 pm last night.”

C  “I signed the consent form in the physician’s office.”

D  “I took my usual dose of Coumadin last night.”

A  More prone to develop hypernatremia

B  Increased glomerular filtration rate

C  Acid-base balance

D  Increased blood flow to the kidneys

A  Therapeutic index

B  Liver function studies

C  Creatinine clearance

D  GI absorption rate

A  6 hours after the urine is discarded

B  After discarding the 8:00 am specimen

C  With the first specimen voided after 8:00 am

D  At 8:00 am, with or without a specimen

A  Creatinine clearance level

B  Uric acid level

C  Blood urea nitrogen level

D  Serum potassium level

A  Glomerulonephritis

B  Diabetes insipidus

C  Increased fluid intake

D  Decreased fluid intake

A  Blood urea nitrogen

B  Hemoglobin

C  Creatinine

D  Osmolality

A  Around the umbilicus

B  The upper abdominal quadrants on the left and right side

C  The costovertebral angle

D  Above the symphysis pubis

A  Kidney stones

B  Chronic renal failure

C  Neurogenic bladder

D  Fistula

A  potassium

B  chloride

C  creatinine

D  glucose

A  Severe renal damage

B  Diabetes

C  Fluid deficits

D  Diabetes insipidus

E  Glomerulonephritis

A  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

B  I took my blood pressure medication with my morning coffee an hour ago.”

C  “I did not take my multivitamin this morning.”

D  “I had my last cigarette 3 hours ago with my morning coffee.”

A  Pain after voiding

B  Costovertebal angle tenderness

C  Perineal pain

D  Suprapubic pain

A  When the urine output is between 300 and 500 mL/h

B  When the urine output is less than 30 mL/h

C  When the urine output is between 500 and 1,000 mL/h

D  When the urine output is about 100 mL/h

A  Creatinine clearance

B  Volume of urine output

C  Urine-specific gravity

D  Circulating ADH concentration

A  notify the health care team if bloody urine is noted.

B  maintain bed rest for 2 hours.

C  carefully handle urine because it is radioactive.

D  drink liberal amounts of fluids.

A  Dysuria

B  Nocturia

C  Polyuria

A  Decreased blood urea nitrogen (BUN)

B  Increased serum albumin

C  Decreased potassium

D  Increased serum creatinine

A  dysuria.

B  nocturia.

C  oliguria.

D  anuria.

A  Exercise the leg and foot.

B  Assess peripheral pulses in the left leg.

C  Place cool compresses on the calf.

D  Assess for anaphylaxis.

A  Unusually smooth skin

B  Increased alertness

C  Hypoventilation

D  Pruritus

A  Check the patient’s urine for hematuria.

B  Keep the patient on bed rest for 72 hours.

C  Place a bed board under the mattress to add support.

D  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

A  decreased in renal disease and urinary obstruction.

B  increased in renal disease and urinary obstruction.

C  unchanged in renal disease.

D  decreased in nephrotic syndrome.

A  Stroke

B  Urinary incontinence

C  Congestive heart failure

D  Myocardial infarction

A  Renin

B  Calcitonin

C  Aldosterone

D  Antidiuretic hormone (ADH)

A  Secretion of insulin

B  Vitamin D synthesis

C  Vitamin B production

D  Secretion of prostaglandins

E  Regulation of blood pressure

A  “A contrast medium will be used to help see the structures better.”

B  You’ll have a pressure dressing on your groin after the test.”

C  “You don’t need to do any fasting before this noninvasive test.”

D  An x-ray will be done to view your kidneys, ureters, and bladder.”

A  Synthesis of vitamin K

B  Secretion of enzymes

C  Regulation of white blood cell production

D  Control of water balance

A  Monitor the client for signs of electrolyte and water imbalance.

B  Evaluate the client for periorbital edema.

C  Assess the client’s mental changes.

D  Monitor the client for an allergy to iodine contrast material.

A  The client has blood-tinged urine following brush biopsy.

B  The client voids 75 cc four hours post cystoscopy.

C  The client reports a pain rating of 3 two hours post-kidney biopsy.

D  The client consumes 75% of lunch following an intravenous pyelogram

A  Calcium

B  Sodium

C  Potassium

D  Phosphorous

A  “Do you take multiple vitamin preparations?”

B  “Do you take phenytoin daily?”

C  Have you noticed any vaginal bleeding?”

D  Have you had a recent urinary tract infection?”

A  Hematuria

B  Enuresis

C  Dysuria

D  Anuria

A  Cystoscopy

B  Computed tomography with contrast

C  Radiography

D  Bladder ultrasonography

A  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

B  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

C  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

D  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

A  Assess the patient’s back and shoulder areas for signs of internal bleeding.

B  Provide analgesics to the client.

C  Enable the client to sit up and ambulate.

D  Distract the client’s attention from the pain.

A  Obstruction of the lower urinary tract

B  Nephrotic syndrome

C  Infection

D  Acute renal failure

A  Cystoscopy

B  Angiography

C  Computed tomography (CT scan)

D  Radiography

A  “I will feel a warm sensation as the dye is injected.”

B  I should let the staff know if I feel claustrophobic.”

C  “I should remove all jewelry before the test.”

D  “I will need to drink all of the dye as quickly as possible.”

A  microorganism transfer.

B  client discomfort.

C  prostate irritation.

D  incorrect urine output values.

A  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

B  The kidneys lie between the 10th and 12th thoracic vertebrae.

C  The kidneys are situated just above the adrenal glands.

D  The left kidney usually is slightly higher than the right one.

A  With the first specimen voided after 8:00 am

B  6 hours after the urine is discarded

C  At 8:00 am, with or without a specimen

D  After discarding the 8:00 am specimen

A  Serum potassium level

B  Blood urea nitrogen level

C  Creatinine clearance level

D  Uric acid level

A  Urinary frequency

B  Urinary incontinence

C  Urinary stasis

D  Urinary urgency

A  Bruits noted over the abdominal area

B  Tenderness over the kidneys

C  A dull sound when percussing over the bladder

D  The ingestion of 8 oz of water

A  Allergic reaction

B  Dehydration

C  Bleeding

D  Infection